Evidence map›Paper›PMID 34006969›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

Supplementation-based hypoglycemia guidelines including donor breast milk reduce NICU admission.

Adharsh Ponnapakkam, Donald Rees, Maria Cristina Gallup, Kaashif A Ahmad, Dena Miller, Angela Fagiana, Nicholas R Carr

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Self-Efficacy and Outcomes in Women with Diabetes: A Prospective Comparative Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Adharsh PonnapakkamDepartment of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA. adharsh.p.ponnapakkam.mil@mail.mil.ORCID http://orcid.org/0000-0002-9984-0047
Donald ReesDepartment of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA.
Maria Cristina GallupMayo Clinic, Rochester, MN, USA.
Kaashif A AhmadDepartment of Pediatrics, Uniformed Services University of Health Sciences, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-5970-6791
Dena MillerDepartment of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA.
Angela FagianaPediatrix Medical Group of Savannah, Savannah, GA, USA.ORCID http://orcid.org/0000-0002-4751-1241
Nicholas R CarrDepartment of Pediatrics, Uniformed Services University of Health Sciences, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-2488-2568
Brooke Army Medical Center · USUniformed Services University of the Health Sciences · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the effects of a supplementation-based hypoglycemia guideline including donor (DM) on NICU admission, exclusive breastfeeding, and blood glucose concentrations in infants at-risk for neonatal hypoglycemia (NH). PROJECT

designWe integrated DM, feeding supplementation, and reduced frequency of blood glucose testing into an NH bundle for term and late-preterm newborns. We then examined NICU admission rates and rates of exclusive breastfeeding at discharge.

resultsNICU admission rates were reduced to 6% (-10%). Exclusive breastfeeding rates increased to 55% (+22%). Median cost of DM utilization was $13.73 per patient with an average volume of 50.8 ml/infant. DM supplementation resulted in similar times to last hypoglycemic episode and greater increases in blood glucose compared to expressed breast milk or breastfeeding alone (+9.6 mg/dL, p < 0.05).

conclusionsA supplementation-based hypoglycemia guideline including donor milk may be an effective way to reduce NICU admissions for asymptomatic hypoglycemia and support mothers in achieving breastfeeding goals.

Indexed as

HypoglycemiaMilk, HumanBreast FeedingDietary SupplementsFemaleHumansInfantInfant, NewbornIntensive Care Units, Neonatal

Identifiers

PMID34006969
OpenAlexW3162650030

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.